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General NPI Number Information
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NPI Number | 1780861336
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Entity Type | Organization
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Legal Business Name | CARE CLINIC INC.
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 2727 NW 43RD ST
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City | GAINESVILLE
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State | FL
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Zip | 32606-6632
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Country | US
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Telephone | 352-351-9100
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Fax | 352-495-3171
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Provider Business Mailing Address
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Address Line | PO BOX 140881
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City | GAINESVILLE
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State | FL
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Zip | 32614-0881
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Country | US
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Telephone | 352-495-8242
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Fax | 352-495-3171
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA NOVAK
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Credential | A.P.
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Telephone | 352-495-8242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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